{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:57:45Z","timestamp":1778871465231,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,6,16]],"date-time":"2016-06-16T00:00:00Z","timestamp":1466035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001868","name":"National Science Council in Taiwan","doi-asserted-by":"crossref","award":["NSC 102-2314-B-002-011-MY3"],"award-info":[{"award-number":["NSC 102-2314-B-002-011-MY3"]}],"id":[{"id":"10.13039\/501100001868","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Early microcirculatory responses after experimental tenotomy are critical to the healing of tendons and their ultimate tensile strength. The effects of changes in microcirculation on the outcomes of tendon healing, however, have not been determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess microcirculation values in injured Achilles tendons in the first 3 months after surgical repair and to correlate the inter\u2010limb microcirculatory changes with functional outcomes at 3 and 6 months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Case\u2010control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A university sports physiotherapy laboratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Thirteen subjects (median age: 45 years; range: 34.8\u201051.9 years) with a repaired Achilles tendon were recruited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods or Intervention<\/jats:title><jats:p>Surgical repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>Measurements were obtained at 1, 2, 3, and 6 months after surgery. Bilateral measurements of tendon microcirculation (total hemoglobin [THb] and oxygen saturation [StO<jats:sub>2<\/jats:sub>]) were recorded at the first 3 time points, whereas outcome measures of a Taiwan Chinese version of the Victorian Institute of Sport Assessment Scale\u2010Achilles questionnaire, one\u2010leg hopping distance, the star excursion balance test, and the heel raise index were conducted at the third and fourth time points. Correlations between the inter\u2010limb microcirculatory changes, eg, between the measurements at 2 months and 1 month (2\u20101) after surgery, at 3 months and 2 months (3\u20102) after surgery, and at 3 months and 1 month (3\u20101) after surgery, and the outcome measures were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the noninjured tendons, the repaired Achilles demonstrated greater THb (at 1, 2, and 3 months; <jats:italic>P<\/jats:italic> = .017, .008, and .012 respectively) and StO<jats:sub>2<\/jats:sub> (at 3 months; <jats:italic>P<\/jats:italic> = .017). Furthermore, the THb2\u20101 and THb3\u20102, StO<jats:sub>2<\/jats:sub> 2\u20101, and StO<jats:sub>2<\/jats:sub> 3\u20102 showed correlations with the heel raise index, differences in the star excursion balance test and one\u2010leg hopping distance between the noninjured leg and injured leg, and Taiwan Chinese version of the Victorian Institute of Sport Assessment Scale\u2010Achilles questionnaire scores (rho \u22120.921 to 0.855).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Changes in the inter\u2010limb microcirculation shortly after Achilles repair were correlated with subsequent symptoms and functional symmetry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>III<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2016.06.011","type":"journal-article","created":{"date-parts":[[2016,6,24]],"date-time":"2016-06-24T21:31:42Z","timestamp":1466803902000},"page":"32-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Characteristics of Intratendinous Microcirculation Shortly After an Achilles Rupture and Subsequent Treatment 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